Review of gastroesophageal reflux disease (GERD) in the diabetic patient.

Abstract:

:This article reviews the known pathophysiological mechanisms of comorbid gastroesophageal reflux disease (GERD) in the diabetic patient, discusses therapeutic options in care, and provides an approach to its evaluation and management. We searched for review articles published in the past 10 years through a PubMed search using the filters diabetes mellitus, GERD, pathophysiology, and management. The search only yielded a handful of articles, so we independently included relevant studies from these review articles along with related citations as suggested by PubMed. We found diabetic patients are more prone to developing GERD and may present with atypical manifestations. A number of mechanisms have been proposed to elucidate the connection between these two diseases. Studies involving treatment options for comorbid disease suggest conflicting drug-drug interactions. Currently, there are no published guidelines specifically for the evaluation and management of GERD in the diabetic patient. Although there are several proposed mechanisms for the higher prevalence of GERD in the diabetic patient, this complex interrelationship requires further research. Understanding the pathophysiology will help direct diagnostic evaluation. In our review, we propose a management algorithm for GERD in the diabetic patient.

journal_name

J Diabetes

journal_title

Journal of diabetes

authors

Punjabi P,Hira A,Prasad S,Wang X,Chokhavatia S

doi

10.1111/1753-0407.12279

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

599-609

issue

5

eissn

1753-0393

issn

1753-0407

journal_volume

7

pub_type

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